Individual provider Active NPI

Rebecca Emilie Gammons, MS CCC-SLP

  • Speech-Language Pathologist
  • Marlborough, MA
National Provider Identifier
1417210386
Registry record updated Jun 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8002 Issued in MA
Practice address
72 Jefferson St
Suite 202
Marlborough, MA 01752-1259
Phone
(508) 485-5650
Fax
(508) 485-5423
NPI assigned
Jun 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8002 MA Primary

Addresses

Primary practice location

72 Jefferson St
Suite 202
Marlborough, MA 01752-1259

Mailing address

72 Jefferson St
Suite 202
Marlborough, MA 01752-1259
Phone (508) 485-5650

Other names 1

  • Rebeccs Emilie Tripodi Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
8002MAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Children'S Therapies Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339804800000",
    "number": "1417210386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521259",
            "telephone_number": "508-485-5650",
            "fax_number": "508-485-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JEFFERSON ST",
            "address_2": "SUITE 202",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521259",
            "telephone_number": "508-485-5650",
            "fax_number": "508-485-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMMONS",
        "first_name": "REBECCA",
        "middle_name": "EMILIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCS",
            "last_name": "TRIPODI",
            "middle_name": "EMILIE",
            "credential": "MS CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.